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Hard"Diltiazem"Heart Failure with Reduced Ejection Fractione) lack mortality benefit and may worsen hf. hctz (c) is not indicated for mortality reduction. ivabradine (d) is adjunct for hr control when criteria met

A 70-year-old with HFrEF (EF 25%) is on ARNI, beta-blocker, and SGLT2 inhibitor. Persistent albuminuria 200 mg/g. Which additional mortality-reducing therapy should be added?

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